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Fundamental Food Microbiology, Third Edition - Fuad Fathir

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336 FUNDAMENTAL FOOD MICROBIOLOGY<br />

Reservoir of Contamination Long storage of Growth of pathogens<br />

a pathogen Æ of a food Æ food at growth Æ to sufficient level<br />

temperature<br />

Ø<br />

Ø<br />

Ø<br />

Ø<br />

For viral<br />

infection<br />

Ø<br />

Consumption<br />

of the food<br />

Ø Ø Ø<br />

For<br />

intoxication<br />

For<br />

bacterial<br />

infection<br />

Ø Ø Ø<br />

Consumption Consumption Consumption<br />

of food of food of live<br />

containing containing cells in<br />

toxin live cells sufficient<br />

numbers<br />

Figure 23.1 Sequence of events leading to a foodborne disease by pathogenic bacteria and<br />

viruses.<br />

here to evaluate the current trends of foodborne illnesses as compared with those in<br />

the past (between 1982 and 1987; presented in tables in this chapter).<br />

A. <strong>Food</strong>borne Disease Outbreaks during 1988 to 1992<br />

Bean et al. (1997) 5 reviewed the data collected by the CDC on reported foodborne<br />

disease outbreaks in the U.S. during 1988 to 1992. During this period (Table 23.10),<br />

as before (Table 23.2), the incidence of outbreaks, number of cases, and number of<br />

deaths declined, but were still much higher than other etiological agents. Like the<br />

previous period, the incidence of illnesses during this period was highest from foods<br />

of animal origin (Table 23.5) and occurred more frequently during May to October,<br />

with the highest incidence during June to August (Table 23.8). Similarly, as before<br />

(Table 23.6), homes (15.2%) and food services (35.7%) were the major sources of<br />

Table 23.10 <strong>Food</strong>borne Disease Outbreaks, Cases, and Deaths by Etiological Agents<br />

from 1988 to 1992 in the U.S.<br />

Etiological Outbreaks Cases Deaths<br />

Agents<br />

a<br />

No. % No. % No. %<br />

Bacterial 796 32.9 33,183 42.9 55 79.7<br />

Viral 45 1.8 2,401 3.1 6 8.7<br />

Parasitic 17

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